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Open Access 01-01-2022 | Esophagus Resection | Original Article

Mediastinal anatomical landmarks, their variants and tips for video-assisted thoracoscopic navigation during oesophageal extirpation

Authors: Sergey Dydykin, Friedrich Paulsen, Tatyana Khorobykh, Natalya Mishchenko, Marina Kapitonova, Sergey Gupalo, Tatyana Bogoyavlenskaya, Vadim Agadzhanov, Pashad Salikhov

Published in: Surgical and Radiologic Anatomy | Issue 1/2022

Abstract

Purpose

There is no systematic description of primary anatomical landmarks that allow a surgeon to reliably and safely navigate the superior and posterior mediastinum’s fat tissue spaces near large vessels and nerves during video-assisted endothoracoscopic interventions in the prone position of a patient. Our aim was to develop an algorithm of sequential visual navigation during thoracoscopic extirpation of the esophagus and determine the most permanent topographic and anatomical landmarks allowing safe thoracoscopic dissection of the esophagus in the prone position.

Methods

The anatomical study of the mediastinal structural features was carried out on 30 human cadavers before and after opening the right pleural cavity.

Results

For thoracoscopic extirpation of the esophagus in the prone position, anatomical landmarks are defined, their variants are assessed, and an algorithm for their selection is developed, allowing their direct visualization before and after opening the mediastinal pleura.

Conclusion

The proposed algorithm for topographic and anatomical navigation based on the key anatomical landmarks in the posterior mediastinum provides safe performance of the video-assisted thoracoscopic extirpation of the esophagus in the prone position.

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Title: Mediastinal anatomical landmarks, their variants and tips for video-assisted thoracoscopic navigation during oesophageal extirpation
Authors: Sergey Dydykin
Friedrich Paulsen
Tatyana Khorobykh
Natalya Mishchenko
Marina Kapitonova
Sergey Gupalo
Tatyana Bogoyavlenskaya
Vadim Agadzhanov
Pashad Salikhov
Publication date: 01-01-2022
Publisher: Springer Paris
Keywords: Esophagus Resection
Thoracoscopy
Esophagus Resection
Published in: Surgical and Radiologic Anatomy / Issue 1/2022
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI: https://doi.org/10.1007/s00276-021-02820-8

At a glance: The STEP trials

Springer Medicine

Mediastinal anatomical landmarks, their variants and tips for video-assisted thoracoscopic navigation during oesophageal extirpation

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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